Using motivational interviewing with smokers: Do therapist behaviors relate to engagement and therapeutic alliance?
Using motivational interviewing with smokers: Do therapist behaviors relate to engagement and therapeutic alliance?
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DOI：
10.1016/j.jsat.2006.05.006
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发表时间：
2006-12-01
影响因子：
3.9
通讯作者：
Ahluwalia, Jasjit S.
中科院分区：
文献类型：
--
作者：
Boardman, Thuy;Catley, Delwyn;Ahluwalia, Jasjit S.
这项研究检验了与动机访谈（MI）一致的治疗师行为是否与会话内工作联盟和客户参与相关。四十六个录音咨询课程取自一项针对公共住房居民的分组随机比较对照戒烟试验。单独的评估者对治疗师的行为和客户的行为进行编码。使用动机访谈技能代码对治疗师的行为进行编码。结果表明，MI 一致的风格（合作、平等主义和同理心的全球评分的平均值）与联盟和参与呈正相关，而对抗与联盟呈负相关。确认、提出开放式问题、面对、反思和总结的效果大小为小到中等。显着的协变量包括治疗条件、治疗顺序和治疗日期。研究结果在实证上支持了 Miller 和 Rollnick 的观点 [Miller, W. R., & Rollnick, S. (2002)。动机访谈：让人们为变革做好准备（第二版）。纽约：吉尔福德出版社]强调军事情报精神对于加强联盟和参与的重要性，他们的发现是，通过对抗而导致联盟的任何撕裂/破裂都可能与不良结果密切相关。 (c) 2006 Elsevier Inc. 保留所有权利。
This study examined whether therapist behaviors consistent with motivational interviewing (MI) were associated with within-session working alliance and client engagement. Forty-six audiotaped counseling sessions were drawn from a group-randomized comparison-controlled smoking cessation trial for public housing residents. Separate raters coded therapist behaviors and client behaviors. Therapist behaviors were coded using the Motivational Interviewing Skill Code. Results indicated that an MI-consistent style (average of the global ratings of collaboration, egalitarianism, and empathy) was positively associated with alliance and engagement, whereas confrontation was negatively related to alliance. Small to moderate effect sizes were found for affirming, asking open-ended questions, confronting, reflecting, and summarizing. Significant covariates include treatment condition, session sequence, and session date. Findings empirically support Miller and Rollnick's [Miller, W. R., & Rollnick, S. (2002). Motivational interviewing: Preparing people for change (2nd ed.). New York: Guilford Press] emphasis on the importance of MI spirit for enhancing alliance and engagement and their findings that any tears/ruptures in the alliance through the use of confrontation could significantly relate to poor outcomes. (c) 2006 Elsevier Inc. All rights reserved.